Quantification of a qualitative sepsis code: laying the foundations for the automation revolution
Por:
Solé-Ribalta A, Balaguer-Gargallo M, Bobillo-Perez S, Girona M, Guitart-Pardellans C, Esteban-Torne E and Jordán-García I
Publicada:
1 may 2023
Ahead of Print:
1 feb 2023
Categoría:
Pediatrics, perinatology and child health
Resumen:
To quantify a qualitative screening tool for the early recognition of sepsis in children with fever either visiting the emergency department or already admitted to hospital. Prospective observational study including febrile patients under 18 years of age. Sepsis diagnosis was the main outcome. A multivariable analysis was performed with 4 clinical variables (heart rate, respiratory rate, disability, and poor skin perfusion). The cut-off points, odds ratio, and coefficients of these variables were identified. The quantified tool was then obtained from the coefficients. The area under the curve (AUC) was obtained and internal validation was performed using k-fold cross-validation. Two hundred sixty-six patients were included. The multivariable regression confirmed the independent association of the 4 variables with the outcome. The quantified screening tool yielded an excellent AUC, 0.825 (95%CI 0.772-0.878, p < 0.001), for sepsis prediction.Conclusion: We successfully quantified a sepsis screening tool, and the resulting model has an excellent discriminatory power.
Filiaciones:
Solé-Ribalta A:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain
Paediatric Emergency Transport Team, Hospital Sant Joan de Déu, Barcelona, Spain
Balaguer-Gargallo M:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain
Bobillo-Perez S:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain
Girona M:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain
Paediatric Emergency Transport Team, Hospital Sant Joan de Déu, Barcelona, Spain
Guitart-Pardellans C:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain
Esteban-Torne E:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain
Paediatric Emergency Transport Team, Hospital Sant Joan de Déu, Barcelona, Spain
Jordán-García I:
Paediatric Intensive Care Unit Service, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu, 2, 08950, Esplugues de Llobregat, Barcelona, Spain.
Immunological and Respiratory Disorders in the, Paediatric Critical Patient Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, Barcelona, Spain.
Paediatric Infectious Diseases Research Group, Institut de Recerca Sant Joan de Déu, Hospital Sant Joan de Déu, CIBERESP, Barcelona, Spain.
Open Access
|